- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.02 / $229.90 / $787.56
| Facility | | $51.02 | $229.90 | $787.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $26.18 / $32.49
| Professional | | $18.27 | $26.18 | $32.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.30 / $58.54 / $4,691.68
| Facility | | $27.30 | $58.54 | $4,691.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.32 / $8,459.92 / $79,506.39
| Facility | | $152.32 | $8,459.92 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.17 / $12.17 / $12.17
| Professional | | $12.17 | $12.17 | $12.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $35.78 / $109.75
| Facility | | $1.22 | $35.78 | $109.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $29.74 / $45.49
| Professional | | $11.03 | $29.74 | $45.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $13.94 / $32.00
| Professional | | $10.87 | $13.94 | $32.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.69 / $172.45 / $591.67
| Facility | | $92.69 | $172.45 | $591.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.72 / $27.72 / $27.72
| Professional | | $27.72 | $27.72 | $27.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.29 / $56.80 / $179.73
| Facility | | $28.29 | $56.80 | $179.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.87 / $215.60 / $878.12
| Facility | | $45.87 | $215.60 | $878.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.27 / $26.85 / $90.32
| Professional | | $18.27 | $26.85 | $90.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $35.78 / $109.75
| Facility | | $1.22 | $35.78 | $109.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $29.74 / $39.74
| Professional | | $11.03 | $29.74 | $39.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $12.24 / $12.24
| Facility | | $12.24 | $12.24 | $12.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $12.24 / $12.61
| Professional | | $12.24 | $12.24 | $12.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $20.49 / $41.71
| Professional | | $9.67 | $20.49 | $41.71 |